Kolbinson D A, Epstein J B, Burgess J A, Senthilselvan A
University of Saskatchewan, Saskatoon, Canada.
J Prosthet Dent. 1997 Jan;77(1):46-53. doi: 10.1016/s0022-3913(97)70206-3.
There is a lack of long-term follow-up studies that involve post-motor vehicle accident temporomandibular disorders and compensation.
The purposes of this retrospective pilot study were (1) to assess patients who had previously been treated for temporomandibular disorders after motor vehicle accidents to determine the nature of their symptoms in terms of jaw, head, and neck pain and jaw dysfunction and (2) to determine whether there was a difference in the pain and dysfunction between those who had settled and those who had not settled their insurance claims.
Thirty previously treated patients with temporomandibular disorders after motor vehicle accidents were questioned by telephone regarding litigation status and current jaw, head, and neck pain and jaw dysfunction symptoms. They did not differ substantially from a smaller group who were not able to be interviewed. Descriptive statistics were calculated and statistical tests were performed. A total of 22 patients had their claims settled.
Approximately three fourths had persistent complaints of jaw pain, jaw dysfunction, and headache, and more than 80% reported persistent neck pain. No apparent differences were found between those who had and had not settled their insurance claims.
Jaw, head and neck pain, and jaw dysfunction continued to be problems for the majority of this patient population, regardless of litigation status in this retrospective study.
缺乏涉及机动车事故后颞下颌关节紊乱症及赔偿问题的长期随访研究。
这项回顾性试点研究的目的是：（1）评估曾因机动车事故接受过颞下颌关节紊乱症治疗的患者，以确定其在颌部、头部和颈部疼痛以及颌功能障碍方面的症状性质；（2）确定已解决保险索赔的患者与未解决保险索赔的患者在疼痛和功能障碍方面是否存在差异。
通过电话询问30名曾因机动车事故接受过颞下颌关节紊乱症治疗的患者的诉讼状态以及当前的颌部、头部和颈部疼痛及颌功能障碍症状。他们与一组无法接受访谈的较小规模患者群体相比，差异不大。计算描述性统计数据并进行统计检验。共有22名患者的索赔已得到解决。
约四分之三的患者持续存在颌部疼痛、颌功能障碍和头痛症状，超过80%的患者报告持续存在颈部疼痛。已解决和未解决保险索赔的患者之间未发现明显差异。
在这项回顾性研究中，无论诉讼状态如何，颌部、头部和颈部疼痛以及颌功能障碍仍是该患者群体中的大多数人的问题。
